Wisconsin awards HP $221 million Medicaid contract extension

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Wisconsin awards HP $221 million Medicaid contract extension

HP Enterprise Services today announced the Wisconsin Department of Health Services has signed a $221 million agreement for HP to continue its 36-year relationship as the state’s Medicaid fiscal agent.

Under the terms of the five-year agreement, HP will help Wisconsin continue to meet federal Medicaid requirements and prepare for future healthcare transformation developments while helping to reduce costs, improve service and maintain program stability for healthcare providers and beneficiaries.

As Wisconsin’s fiscal agent, HP will continue providing all systems work and management of a decision support system and data warehouse, which handles the analysis of more than 4 terabytes of Medicaid data used to drive program decisions. HP also manages the Wisconsin immunization registry program, which has been shared with 19 other states. Under the contract, HP also will manage a local call center, financial and federal reporting, and support for the state’s drug rebate and estate recovery programs.

As part of this contract, HP will complete a system-wide technology refresh with HP Superdome 2 servers, helping the agency address its most demanding workload cost effectively. Designed to scale from eight to 256 cores, the servers deliver a highly resilient, mission-critical consolidation platform that will help the department accommodate growth with maximum uptime, ensuring consistent services.

Wisconsin’s interChange Medicaid Management Information System (MMIS), developed and implemented by HP, has become the model for solutions sought by a number of other states. The HP interChange MMIS is a multipayer system and has been successfully implemented and federally certified in 13 states over the past decade. The system offers the state flexibility and speed to make changes to provider payment policies or eligibility rules in minutes rather than months as required for mainframe systems.

The Wisconsin interChange system processes approximately 41 million provider claims and pays out more than $4.3 billion per year. With more than 99 percent of claims submitted electronically and with real-time online adjudication, interChange enables Wisconsin’s 73,500 enrolled Medicaid providers to focus more time on the state’s 1.15 million Medicaid members and less on administration.

“Preparing for federal- and state-driven program changes requires process and system modifications while maintaining smooth, uninterrupted interaction with providers and beneficiaries,” said Susan Arthur, vice president, U.S. Health and Life Sciences, HP Enterprise Services. “The HP team will continue to provide Wisconsin with a flexible, reliable and cost- effective MMIS that’s ready for the future and helps enable the state to maintain its quality Medicaid program.”

HP is the nation’s largest provider of Medicaid and Medicare process management services, administering $140 billion in benefits a year. It serves as the fiscal agent or principal IT provider for Medicaid in 19 states. HP’s U.S. healthcare experience spans payer, government and life science communities.

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Health IT, States, Tech News, Wisconsin
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